Stressors, coping mechanisms and quality of life among patients on automated peritoneal dialysis [APD]

Peritoneal dialysis is often presented as the easier and less cumbersome dialysis modality, the majority of peritoneal dialysis perform automated peritoneal dialysis [APD]. The APD patients are subjected to physiological and psychosocial stressors, which may affect their life style. Therefore coping is an important factor in determining how patient adjust to chronic illness. Nurses responsibility is to asses stressors and coping used by the patient to be able to provide individualized nursing care plan to improve their quality of life. The aim of this study was to identify the stressors and coping methods of patients on automated peritoneal dialysis and the effect of stressors and coping on the quality of life of automated peritoneal dialysis patients. The study was conducted on 40 patients on automated peritoneal dialysis [APD] in King Fahd Armed Forces Hospital and in king Abdul Aziz University Hospital in Jeddah. Results of the study revealed that physiological stressors which trouble the APD patients were muscle cramps, itching, problem with peritoneal dialysis catheter, nausea and vomiting, limitation of fluid and food intake and problem of infection. The psychosocial problems included limited time and place for vocation, dependency on others, changes in family responsibility, and reversal in family role. Automated peritoneal dialysis patients were using affective coping mechanism and problem oriented coping. There is significant difference between stressors and coping. Stressors and coping are significantly affect quality of life. Quality of life was fair for APD patients. The researcher recommended to establish rehabilitation program for APD patients

Quality of life of patients with coronary artery bypass graft surgery

The attention to patient outcome has nowadays extended from morbidity, and mortality to an aspect of patientsf benefits in terms of quality of life. Global definitions of quality of life always take into account both the external conditions of life and the individual subjective experiences of the quality of life. The aim of this study is to identify the quality of life of patients with coronary artery bypass graft surgery. The goal of health care is to prolong the lives of people and to improve the quality of their lives. This study was conducted in Shark El Madina Hospital, in Alexandria. The sample was 50 adult patients with coronary artery bypass graft surgery for the first time, 4 months after the operation. The first part of interview sheet comprises the sociodemographic data. Walker, quality of life assessment sheet was adopted and translated in to Arabic language. The results showed that 60% of the sample always had the ability to eat 3 times a day. 66% never lost communication, 80% of patient feel responsible for his condition. There was a significant difference between the period of operation and psychological assessment. The researcher recommended frequent assessment the quality of life for patient. Nursing program to improve patient's quality of life should be developed and implemented

Adherence of kidney transplant patients to therapeutic regimen

This study has been done to assess the adherence of kidney transplant patients to therapeutic regimen. This study conducted at outpatient clinic of kidney transplantation in King Fahd Armed Forces Hospital. The sample included 30 patients of duration of 6 months and more. The tool were developed which compromise sociodemographic characteristics, medical data and therapeutic regimen of kidney transplant patients. The results showed that 100% of the sample were following the prescribed medication. As regards to avoiding the infection 100% of the sample were avoiding the crowded and infected area. Majority of the sample [83.33%] were washing their hands before and after each activity. There was a significant correlation between level of education, period of transplantation and hand washing, following the dietary regimen, measuring intake and output and monitoring body temperature. There was also significant correlation between iron intake and hemoglobin, level of creatinine and animal protein. There was a weak correlation between calcium level and calcium intake. The researchers suggested further researches on psychological factors associated with patients undergoing kidney transplantation

implementation and evaluation of educational program for nurses regarding nosocomial infection control at Mansoura University Hospital

This study was carried out to implement and evaluate an educational program for nurses regarding nosocomial infection control. The study was conducted in two different setting, anesthesia intensive care unit of Mansoura University Hospital and the ICU of Mansoura Emergency Hospital. A convenience sample of 50 nurses responsible of providing direct patient care to critical patients in the previously mentioned setting was included in this study. The results showed that the majority experienced deficit in their knowledge and practice regarding control of infection and this deficit was correct after implementation of the educational program. Nurses are in need for continuous education and motivation in order to follow the instruction

Occupational stress among nurses: a comparison of the public and private sectors

The present study aimed to compare between nurses stress in the public and private sectors. The sample constituted 100 nurses working in the public sector and 50 nurses working in the private one. An interview questionnaire was constructed to obtain the needed information. From this study, it could be concluded that the prevalence of factors causing stress in public sector was more than in private one. The strongest of these factors are overloads, lack of support, bad relations with doctors, and lack of work organization. Years of experience, type of work and salary had an effect in producing occupational nurses stress. Regulating workload, motivations, improving salaries and regular work supporting sessions were recommended